So ɛsɛ sɛ yehu akisikuru ntini a ɛwɔ yɛn nipadua mu no ho asɛm pɛpɛɛpɛ?

So woasusuw baabi a mogya a wɔde adi dwuma a efi akwaa te sɛ akisikuru ne dwensɔtwaa a ɛwɔ yɛn yafunu mu no kɔ no ho pɛn? Asɛm kɛse bi wɔ mogya yi a wɔtew ho na wɔsan de kɔ nipadua no mu no akyi. Nnipa atitiriw a wɔwɔ saa asɛm no mu biako ne ‘splenic vein’ anaa Splenic Vein. Momma yɛnka eyi ho asɛm tiawa na yɛmfa asomdwoe nka nnɛ.

Dɛn ne akisikuru ntini no?

Sɛ yɛbɛka no tiawa a, wo splenic vein no yɛ mogya ntini kɛse bi a ɛwɔ wo nipadua mu. Ɛde mogya fi wo dwensɔtwaa, wo dwensɔtwaa, ne wo yafunu afã horow mu kɔ mogya ntini kɛse foforo a wɔfrɛ no portal vein mu. Yɛfrɛ nhyehyɛe yi nyinaa hepatic portal system.

Fa no sɛ ɛyɛ ɔkwan a wɔfa so twa kwan. Saa kwan a wɔfa so twa kwan yi ka ntini kɛse foforo ho ma ɛyɛ ɔkwan kɛse bi a wɔfrɛ no portal vein. Afei ɔkwan kɛse yi kɔ mmerɛbo no mu tẽẽ . Mmɛn no ne ade a ɛsõ sen biara wɔ yɛn nipadua mu. Ɛhɔ no, wɔhohoro mogya no ho yiye, wɔtetew aduannuru a ɛho hia no mu, na wɔsan de kɔ koma no mu ma wɔkyekyɛ wɔ nipadua no nyinaa mu.

Ɔsom bɛn na eyi yɛ ma nipadua no?

Dwuma titiriw a akyi berɛmo no yɛ ne sɛ ɛde mogya a ahurututu no ayɛ ho adwuma no bɛkɔ. Seesei ebia woresusuw nea akyi berɛmo no yɛ ho. Akisikuru yɛ adwuma a ɛho hia yiye wɔ yɛn nipadua mu. Ɛyɛ:

• Woyi mogya mu nkwammoaa kɔkɔɔ dedaw a asɛe fi mogya no mu.
• Ɛkyere mmoawa ne nneɛma a ɛde ɔyare mmoawa ba a ɛkɔ mogya no mu no bi na eyi fi hɔ.
• Wɔde mogya mu nkwammoaa fitaa a ɛko tia ɔyare mmoawa ka mogya no ho.

Enti, mogya a akisikuru no atew ho kakra wɔ saa kwan yi so no, akisikuru no ntini no de kɔ mmerɛbo no mu. Ɛyɛ mmerɛbo no na eyi nneɛma fĩ a etwa to fi saa mogya no mu na ɛtew ho koraa.

Ɛhe ankasa na saa ntini yi wɔ wɔ nipadua no mu?

Ntini a ɛwɔ wo yafunu mu no wɔ wo yafunu mu, wo yafunu akyi, bɛn wo yafunu no. Akisikuru no wɔ wo nipadua no benkum so, wo mpampam ase. Enti efi hɔ no, saa ntini yi sian kɔ wo yafunu mfinimfini.

Ntini afoforo bɛn na ɛne akisikuru ntini no di nkitaho?

Mogya ntini kɛse a wɔfrɛ no splenic vein yi nam mogya ntini nketenkete pii a ɛka bom so na ɛba. Te sɛ nsubɔnten nketewa ka bom yɛ asubɔnten kɛse no ara pɛ. Yɛsan frɛ saa ntini nketewa yi ‘tributaries’.

Nyarewa bɛn na ebetumi aka akisikuru no?

Mpɛn pii no, tebea horow a ɛka akisikuru ntini no ne akwanside ahorow a ɛmma mogya nkɔ mu no wɔ abusuabɔ. Sɛ ɔhaw bi wɔ mogya a ɛkɔ ntini yi mu no mu a, ebetumi aka akyi berɛmo ne akwaa afoforo a ɛbɛn hɔ.

So sɔhwɛ ahorow bi wɔ hɔ a wɔde hwɛ sɛnea ntini yi akwahosan te?

Yiw, koraa. Wo duruyɛfo wɔ akwan horow a ɔfa so hwɛ sɛnea ntini yi ne akwaa a ɛne no di nkitaho no akwahosan te. Wɔn mu bi ni:

• Mogya mu nhwehwɛmu
• CT scan a wɔde yɛ adwuma
• Endoscopy a wɔde hwɛ nipadua no mu
• Mmɛn dwumadi ho nhwehwɛmu
• MRI mfonini (MRI) .
• Ultrasound a wɔde yɛ nhwehwɛmu
• Venography - X-ray nhwehwɛmu titiriw bi a wɔde hwehwɛ ntini no mu

Dɛn na yebetumi ayɛ na ama akisikuru ntini no akɔ so ayɛ yiye?

Ntini yi a yɛbɛma ayɛ yiye no kyerɛ sɛ yɛbɛbɔ mmɔden sɛ yɛbɛma yɛn mogya a ɛkɔ nipadua no mu nyinaa ayɛ yiye. Nneɛma nketenkete kakraa bi wɔ hɔ a yebetumi adi akyi de ayɛ saa.

• Di aduan a ahoɔden wom: Di nhabannuru, nnuaba, ne nnuan a ahoɔdennuru wom pii.
• Di nkyene ne asikre a wudi so: Sɛ wudi eyinom pii a, ebetumi de ɔhaw ahorow te sɛ mogya mmoroso aba.
• Apɔw-mu-teɛteɛ daa: Biribi a ɛyɛ mmerɛw te sɛ nantew simma 30 da biara mpo boro nea ɛdɔɔso so.
• Kwati nsa a wobɛnom boro so: Nsã sɛe mmerɛbo no tẽẽ.
• Bɔ wo ho ban fi hepatitis mmoawa ho: Eyinom ne ade titiriw a ɛde mmerɛbo mu yare ba.
• Di nyarewa a enni sabea ho dwuma: Sɛ wowɔ nyarewa te sɛ asikreyare anaa mogya mmoroso a, di ho dwuma yiye wɔ nnuruyɛfo afotu ase .
• Kwati sigaretnom koraa: Sigaretnom sɛe mogya ntini kɛse.
• Nom nsu pii da mũ no nyinaa: Ma nsu pa nkɔ nipadua no mu.
• Bisa oduruyɛfo ansa na woanom nnuru anaa nnuru biara a wɔde ka ho.
• Sɛ wo yafunu mu yɛ wo yaw a wuntumi nkyerɛkyerɛ mu anaasɛ wo ho popo a, kɔ oduruyɛfo nkyɛn ntɛm.

Nsonsonoe bɛn na ɛda ntini ne ntini a ɛwɔ akyi berɛmo no mu ntam?

Eyi yɛ mmerɛw yiye. Fa no sɛ ofie bi a paipu abien wom, biako de nsu ba mu na biako nso fa nsu a wɔde adi dwuma kɔ.

• Splenic Artery: Eyi de mogya a ɛho tew a oxygen wom fi koma no mu kɔ ahurututu no mu. Eyi ne nea ɛma akyi berɛmo no nya ahoɔden.
• Splenic Vein: Wɔde eyi fa mogya a oxygen nnim a nwura wom fi akyi berɛmo no mu de tew ho.

Sɛ yɛbɛka no tiawa a, wɔde ntini no ba mu na wɔde ntini no ba.

Sɛ worehwehwɛ saa ntini yi wɔ w’akyi berɛmo mu a, ɛkyerɛ sɛ ebia wo anaa obi a wodɔ no wɔ akwahosan ho haw bi a ɛfa eyi ho. Ɛyɛ papa sɛ wobɛhwehwɛ nsɛm wɔ saa kwan yi so. Sɛ wɔbɔ wɔn amanneɛ a, ɛma ɛyɛ mmerɛw sɛ wobedi ayaresa tebea horow ho dwuma. Na nea ɛho hia sen biara no, wo ne wo duruyɛfo nkasa daa, bisa nsɛm, na ka w’adwene. Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛhwɛ w’ankasa akwahosan so.